| Code | Description | Claims | Beneficiaries | Total Paid |
| 99241 |
|
1,259 |
1,029 |
$121K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
391 |
373 |
$45K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
602 |
468 |
$33K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
749 |
504 |
$21K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
466 |
414 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,017 |
773 |
$11K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
274 |
185 |
$7K |
| 99242 |
|
26 |
25 |
$4K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
602 |
492 |
$2K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
252 |
213 |
$1K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
194 |
149 |
$687.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
340 |
216 |
$172.70 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
123 |
82 |
$43.71 |
| 81003 |
|
49 |
42 |
$4.36 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
16 |
15 |
$0.00 |
| S9083 |
Global fee urgent care centers |
19 |
16 |
$0.00 |